Results / Comments:Out of the 563 male migrants surveyed in Calicut, 156 (28%) reported sex with other men and 45% of them worked in the hotel industry. Compared to non-MSM migrants, MSM were significantly younger (31.2 vs. 35.2 years), better educated (63% vs. 40% reported at least a secondary education), more likely to be unmarried (63% vs. 38%), and Muslim (33% vs. 25%) (all p

Discussion:There is a clear need to develop effective HIV prevention intervention for migrant men who have sex with other men. Given the stigma of homosexuality, migrant MSM need prevention interventions delivered in confidential settings, using messages tailored to their specific needs and delivered by individuals perceived as trustworthy and credible. Interventions need to include basic education about HIV transmission and prevention, both during sex with men and women. They also need to include a unit on the role of alcohol in sexual risk and incorporate skills training to reduce negative perceptions of condoms.